Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DAVID M BINGHAM D.O.
NPI 1831393628
Orthopaedic Surgery in Fond Du Lac, WI

Q: What is David Bingham's NPI number?

The NPI number for David Bingham is 1831393628. It was assigned to this individual provider in the NPPES registry on June 13, 2007.

Q: What is David Bingham's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for David Bingham was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 13, 2007PECOS EnrolledAccepts Medicare Assignment

210 WISCONSIN AMERICAN DR, FOND DU LAC, WI 54937(920) 303-8880 Get Directions Write a Review

NPPES record last updated: October 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 15, 2026, Oct 9, 2023, Jul 22, 2022 and 2 more (5 updates tracked since 2017).

On this page

About David M Bingham D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID M BINGHAM D.O. (NPI 1831393628) is an individual orthopaedic surgery provider in Fond Du Lac, Wisconsin, licensed in Wisconsin (67061) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Aurora Medical Ctr Oshkosh, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1831393628

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDAVID M BINGHAMCredential: D.O.

Location Address210 WISCONSIN AMERICAN DRFond Du Lac, WI 54937-2999

Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250

Phone(920) 303-8880

Sole ProprietorNo

Medical School CMSNova Southeastern College Of Osteo MedicineGraduated 2004

Enumeration DateJune 13, 2007

Last NPPES UpdateOctober 15, 20265 updates tracked since enumeration

NPPES CertifiedOctober 15, 2026

✔ NPI 1831393628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Licenses✔ Licensed in WI · 67061✔ Licensed in AZ · 009842✔ Licensed in IL · 036125816

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

210 WISCONSIN AMERICAN DR, Fond Du Lac, WI 54937

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Secondary Practice Locations 2

Location 11025 Maine StQuincy, IL 62301-4038 · Phone (217) 222-6550

Location 22700 W 9th Ave Ste 125Oshkosh, WI 54904-7864 · Phone (800) 322-2141

Other Identifiers 1

Medicaid100066054WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

David M Bingham D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911186549

PECOS Enrollment IDI20170505000850

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show David Bingham reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ascension NE Wisconsin, Inc

19 mi

General Acute Care Hospital

500 S OAKWOOD RD
Oshkosh, WI 54904

Reassigned Medicare billing, Wisconsin enrollment
194 clinicians in this Medicare group

NPI 1912527193 (920) 223-2000

Aurora Medical Group, Inc.

33 mi

Clinic/Center

2414 KOHLER MEMORIAL DR
Sheboygan, WI 53081

Reassigned Medicare billing, Wisconsin enrollment
4,609 clinicians in this Medicare group

NPI 1174670244 (920) 457-4461

Langlade Hospital - Hotel Dieu Of St Joseph Of Antigo Wisconsin

89 mi

Rural Health

375 MAIN ST
Birnamwood, WI 54414

Reassigned Medicare billing, Wisconsin enrollment
321 clinicians in this Medicare group

NPI 1063574184 (715) 449-2539

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

54 services54 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

53 services41 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

32 services27 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

22 services21 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Aurora Medical Ctr Oshkosh

Acute Care Hospitals · Oshkosh, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520198

Location855 N Westhaven DriveOshkosh, WI 54904 · Winnebago County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54937 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

100%165 patients5/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

67%308 patients3/55-star benchmark: 97%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

56%307 patients3/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

17%307 patients1/55-star benchmark: 89%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

22%307 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEANETTE ROEHL APNP FNP

Nurse Practitioner